Organization Active NPI

Mannafull Counseling and Consulting, PLLC

  • School Counselor
  • Raleigh, NC
National Provider Identifier
1821734476
Registry record updated May 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
School CounselorTaxonomy code 101YS0200X
Legal business name
MANNAFULL COUNSELING AND CONSULTING, PLLC
Practice address
8480 Honeycutt Rd Ste 200
Raleigh, NC 27615-2261
Phone
(919) 410-8385
NPI assigned
May 6, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kimberly Brown Lilly, MS, NCC, LCMHCNPI 1245430271
Title
Ceo/Counselor
Phone
(919) 410-8385

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Pastoral CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP1600X
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X
School CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YS0200X Primary

Addresses

Primary practice location

8480 Honeycutt Rd Ste 200
Raleigh, NC 27615-2261

Mailing address

PO Box 1643
Wake Forest, NC 27588-1643
Phone (919) 410-8385

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1651795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652832000000",
    "number": "1821734476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1643",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275881643",
            "telephone_number": "919-410-8385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8480 HONEYCUTT RD STE 200",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276152261",
            "telephone_number": "919-410-8385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANNAFULL COUNSELING AND CONSULTING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-06",
        "last_updated": "2022-05-18",
        "certification_date": "2022-05-18",
        "status": "A",
        "authorized_official_last_name": "LILLY",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "BROWN",
        "authorized_official_title_or_position": "CEO/COUNSELOR",
        "authorized_official_telephone_number": "919-410-8385",
        "authorized_official_credential": "MS, NCC, LCMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP1600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Pastoral",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YS0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, School",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.